Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

Autor: Su Sandy, Sumi Dhakal, Mika Kondo Kunieda, Masamine Jimba, Momoko Koyama, Moe Miyaguchi, Bruno F. Sunguya, Sarju Sing Rai, Prakash Shakya
Přispěvatelé: Athena Institute, APH - Global Health
Rok vydání: 2017
Předmět:
0301 basic medicine
Pediatrics
Time Factors
Maternal Health
Breastfeeding
lcsh:Medicine
Peer support
Cochrane Library
law.invention
Families
0302 clinical medicine
Mathematical and Statistical Techniques
Randomized controlled trial
law
Risk Factors
Pregnancy
Odds Ratio
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Children
Multidisciplinary
Child Health
Obstetrics and Gynecology
Breast Feeding
Meta-analysis
Physical Sciences
Female
Infants
Statistics (Mathematics)
Research Article
medicine.medical_specialty
Parenting Behavior
Mothers
CINAHL
Research and Analysis Methods
Peer Group
03 medical and health sciences
SDG 3 - Good Health and Well-being
medicine
Humans
Statistical Methods
Nutrition
Behavior
030109 nutrition & dietetics
business.industry
lcsh:R
Infant
Newborn
Biology and Life Sciences
Peer group
Socioeconomic Factors
Age Groups
Family medicine
People and Places
Women's Health
lcsh:Q
Population Groupings
Neonatology
business
Breast feeding
Publication Bias
Mathematics
Meta-Analysis
Zdroj: PLoS ONE, 12(5):e0177434. Public Library of Science
Rai, S S 2017, ' Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis ', PLoS ONE, vol. 12, no. 5, e0177434 . https://doi.org/10.1371/journal.pone.0177434
PLoS ONE
PLoS ONE, Vol 12, Iss 5, p e0177434 (2017)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0177434
Popis: Breastfeeding is associated with reduced mortality in children aged less than 5 years. We conducted a systematic review and meta-analysis (registered as PROSPERO 2015: CRD42015019105) to examine the effectiveness of community-based peer support for mothers on their breastfeeding practices as compared to mothers who have not received such a support. Methods: We searched for evidence regarding community-based peer support for mothers in databases, such as PubMed/MEDLINE, the Cochrane Library, CINAHL, Web of Science, SocINDEX, and PsycINFO. We selected three outcome variables for breastfeeding practices, namely, exclusive breastfeeding duration, breastfeeding within the first hour of life, and prelacteal feeding. We conducted meta-analyses of the included randomized controlled trials and quasi-experimental studies. Results: For our review, we selected 47 articles for synthesis out of 1,855 retrieved articles. In low-and middle-income countries, compared to usual care, community-based peer support increased exclusive breastfeeding at 3 months (RR: 1.90, 95% CI: 1.62-2.22), at 5 months (RR: 9.55, 95% CI: 6.65-13.70) and at 6 months (RR: 3.53, 95% CI: 2.49-5.00). In high-income countries, compared to usual care, peer support increased exclusive breastfeeding at 3 months (RR: 2.61, 95% CI: 1.15-5.95). In low- and middle-income countries, compared to usual care, peer support increased the initiation of breastfeeding within the first hour of life (RR: 1.51, 95% CI: 1.04-2.21) and decreased the risk of prelacteal feeding (RR: 0.38, 95% CI: 0.33-0.45). Conclusions: Community-based peer support for mothers is effective in increasing the duration of exclusive breastfeeding, particularly for infants aged 3-6 months in low- and middle-income countries. Such support also encourages mothers to initiate breastfeeding early and prevents newborn prelacteal feeding.
Databáze: OpenAIRE
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